After the Operation, the Patient is carry'd to his Bed, having before cover'd the Wound with a good Bolster; and if an Hæmorrhage happens, it is to be stopt with Astringents. A Tent must also be put into the Wound, when it is suspected that some Stone or Gravel may as yet remain therein: But if it evidently appears that {244} there is none, the Wound may be dress'd with Pledgets, a Plaister, and a Bolster, of a Figure convenient for the Part. The Dressing may be staid with a Sling supported by a Scapulary; or else the Bandage of the double T. may be us'd, the manner of the Application of which we have shewn elsewhere. The Patient's Thighs must be drawn close to one another, and ty'd with a small Band, lest they shou'd be set asunder again. The Operation of Lithotomy in Women is usually perform'd by the lesser Preparative, which is done by putting the Fore-finger and Middle-finger into the _Vagina Uteri_, or into the _Rectum_ in young Virgins, to draw the Stone to the Neck of the Bladder, and keep it steady, so that it may be taken out with a Hook, or other Instrument. This Operation may also be effected in Women, almost in the same manner as in Men; for after having caus'd the Female Patient to be set in the same Posture or Situation as the Men are usually plac'd, according to the preceeding Description, the Conductors may be convey'd into the _Ureter_, to let in the _Forceps_ between 'em, with which the Stone may be drawn out: But if it be too thick, a small Incision is to be made in the Right and Left side of the _Ureter_. The lesser Preparative was formerly us'd in the Lithotomy of Men, after this manner: The Finger was put into the _Anus_, to draw the Stone toward the _Perinæum_; then an Incision was made upon the Stone on the side of the Suture, and it was taken out with an Instrument. * * * * * {245} CHAP. XVII. _Of the Operation of the Puncture of the _Perinæum_._ This Operation is necessary in a Suppression of Urine, where the Inflammation is so great, that the Probe cannot be introduc'd. Then an Incision is to be made with the Knife or Lancet, in the same Place where it is done in Lithotomy; and a small Tube or Pipe is to be put in the Bladder, till the Inflammation be remov'd. * * * * * CHAP. XVIII. _Of the Operation of the _Fistula in Ano_._